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Home/Large Joints and Extremities/New HSS Study: Bone Fill in a Septic Condition Praised
Large Joints and Extremities

New HSS Study: Bone Fill in a Septic Condition Praised

June 2, 2015 1 min read Premium comments

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New HSS Study: Bone Fill in a Septic Condition Praised
Fungal Infection Bone Marrow / Source: Wikimedia Commons and CFCF
Secondary

Study results of CERAMENT|G, reported at the 2015 Orthopedic Research Society Annual Meeting, demonstrated that the Swedish product promoted new bone growth and decreased the rate of infection when compared to patients treated without a bone filler.

The manufacturer, headquartered in Lund, Sweden, is Bonesupport AB, a maker of injectable bone substitutes for use in orthopedic, trauma and bone infections.

“Treatment of chronic osteomyelitis often leaves a large critical defect which requires a bone void filler, yet current void fillers are inadequate because of donor site morbidity, expense or their propensity to encourage infection, ” said Mathias P.G. Bostrom, M.D., orthopedic surgeon at Hospital for Special Surgery in New York and co-author of the study. “This study showed CERAMENT|G to be effective in decreasing the rate of infection and simultaneously increasing new bone growth, two essential functions for successful management of osteomyelitis.”

Bonesupport officials describe Cerement|G as an injectable, bone graft substitute designed to fill bone gaps and voids and to augment hardware and bone fractures during surgical procedures. CERAMENT|G, they claim, has been shown to remodel into healthy native bone within 6 to 12 months.

“This is the first animal study to evaluate CERAMENT|G in a septic condition and we were very pleased with the results, ” said Bonesupport CEO Lloyd Diamond. Osteomyelitis, or bone infection, is reported to be a $1.7 billion annual cost where prolonged, long-term antibiotic therapy, multiple surgical interventions and the threat of amputation are required to combat the problem.

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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